The prevalence of subclinical ADHD and its associations with mental health and academic attitudes

Introduction ADHD has been studied less extensively in adults than in children over the years, even though the indications of it clearly affect academic attitudes and closely linked to depression and substance abuse. Objectives Exploratory cross-sectional research was conducted to examine the prevalence of subclinical ADHD is among medical students and its correlations with substance abuse. Furthermore, our goal was to find psychological and academic mediating variables, that might be risk or protective factors of its occurrence. Methods A total of 239 (69 male) medical students were screened by an online questionnaire using Adult Self-Report Scale (ASRS), Depression, Anxiety and Stress Scale-21 (DASS-21), Maslach Burnout Inventory-Student Version (MBI-SS), Utrecht Work Engagement Scale for Students (UWES-S) and CAGE Questionnaire, which included smoking, alcohol, stimulant and sedative use. Results Problematic substance use was reported by 48% of medical students for alcohol use, 43% for smoking, 25% for stimulant use and 21% for sedative use. The prevalence of ADHD symptoms is relatively high among medical students (m=36.13). Correlation and linear regression analysis showed a strong association between ADHD symptoms, depression, and substance abuse. The prevalence of subclinical ADHD symptoms mediates the relationship between depression and substance use, such as alcohol and stimulant use, but there is no significant relationship between academic attitudes (engagement and burnout) and ADHD symptoms, except for depersonalization, which was found to be a risk factor for the development of alcohol and stimulant use. Conclusions The increased exposure of medical students to stress makes it particularly important to identify and address factors that can lead to more serious mental illness. Disclosure of Interest None Declared


Results:
The hypothesis about important life events was completely confirmed. It turned out that important life events were described by the respondents mainly as negative, that is, in most cases (more than 70% of the total number of answers), important events were associated as something associated with stress, having a negative emotional connotation. It is interesting that mentions of joyful and happy events were much less frequent than negative ones, while there were practically no descriptions of the experience of vivid emotions accompanying any long-awaited events. At the same time, important events are quite extensively associated with stress and critical emotional experiences, often with mental problems: "shock", "crisis", "debts", "severe depression", "complete collapse", "everything goes to hell". Conclusions: Important life events for a person are rather negatively assessed events, as well as events associated with stress, rather than positively assessed events.

EPP0491
The prevalence of subclinical ADHD and its associations with mental health and academic attitudes B. Gács 1 * and I. Greges 2 Introduction: ADHD has been studied less extensively in adults than in children over the years, even though the indications of it clearly affect academic attitudes and closely linked to depression and substance abuse. Objectives: Exploratory cross-sectional research was conducted to examine the prevalence of subclinical ADHD is among medical students and its correlations with substance abuse. Furthermore, our goal was to find psychological and academic mediating variables, that might be risk or protective factors of its occurrence. Methods: A total of 239 (69 male) medical students were screened by an online questionnaire using Adult Self-Report Scale (ASRS), Depression, Anxiety and Stress Scale-21 (DASS-21), Maslach Burnout Inventory-Student Version (MBI-SS), Utrecht Work Engagement Scale for Students (UWES-S) and CAGE Questionnaire, which included smoking, alcohol, stimulant and sedative use. Results: Problematic substance use was reported by 48% of medical students for alcohol use, 43% for smoking, 25% for stimulant use and 21% for sedative use. The prevalence of ADHD symptoms is relatively high among medical students (m=36.13). Correlation and linear regression analysis showed a strong association between ADHD symptoms, depression, and substance abuse. The prevalence of subclinical ADHD symptoms mediates the relationship between depression and substance use, such as alcohol and stimulant use, but there is no significant relationship between academic attitudes (engagement and burnout) and ADHD symptoms, except for depersonalization, which was found to be a risk factor for the development of alcohol and stimulant use. Introduction: Estimating the current likelihood of transitioning from a clinical high risk for psychosis (CHR-P) to psychosis holds paramount importance for preventive care and applied research. Objectives: Our aim was to quantitatively examine the consistency and magnitude of transition risk to psychosis in individuals at CHR-P.

Methods: This meta-analysis is compliant with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) and
Meta-analysis of Observational Studies in Epidemiology (MOOSE) reporting guidelines. PubMed and Web of Science databases were searched for longitudinal studies reporting transition risks in individuals at CHR-P. Primary effect size was cumulative risk of transition to psychosis at 0.5, 1, 1.5, 2, 2.5, 3, 4, and more than 4 years' follow-up, estimated using the numbers of individuals at CHR-P transitioning to psychosis at each time point. Random-effects meta-analysis were conducted.
Conclusions: In this meta-analysis, 25% of individuals at CHR-P developed psychosis within 3 years. Transition risk continued increasing in the long term. Extended clinical monitoring and preventive care may be beneficial in this patient population.

EPP0494
The influence of paternity leave uptake on parental post-partum depression: An ELFE cohort study Conclusions: Taking and intending to take a two-week paid paternity leave is associated with lower odds of PPD in fathers. Mothers whose partners take paternity leave experience borderline higher odds of PPD at two months. Offering only a two-week paternity leave may protect fathers against PPD but does not significantly protect may increase mothers' risk of against PPD onset.

EPP0495
The effect of suicide prevention program for community dwelling elderly Introduction: The suicide rate in the elderly population is the highest of all ages in Korea. Suicide prevention programs specialized in the elderly are scarce.